Six Month Interim Outcomes from SECURE: A Single arm, Multicenter, Prospective, Clinical Study on a Novel Minimally Invasive Posterior Sacroiliac Fusion Device

Aaron K Calodney,Nomen Azeem,Patrick Buchanan, Ioannis Skaribas,Ajay Antony, Christopher Kim,George Girardi,Chau Vu,Christopher Bovinet, Rainer S Vogel,Sean Li, Naveep Jassal,Youssef Josephson, Timothy R Lubenow, Nicholas Girardi,Jason E Pope

EXPERT REVIEW OF MEDICAL DEVICES(2022)

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摘要
Introduction Sacroiliac joint disease is a prominent diagnosis across the world. A novel fixation technique employing a posterior approach, single point, bone allograft transfixation has proven to be helpful anecdotally. The purpose of this is study is to investigate prospectively the safety and efficacy of this approach. Methods A multicenter, prospective, single arm study was performed after patient identification and treatment with the novel posterior fusion, single-point transfixation system and followed for 24 months. Target enrollment is 100 patients. Interim results on the first 69 consecutive patients at 6 months is presented. Primary endpoint at 6-month analysis was Pain Intensity reduction by visual analogue scale and functional improvement by Oswestry Disability Index. Adverse events were assessed for safety analysis. Results In total, 69 patients were identified for this analysis. At 6 months, a mean improvement of 34.9 was identified by a reduction in VAS and functional improvement was demonstrated by a mean reduction in ODI of 17.7. There were three adverse events, all unrelated to the device. Conclusion The posterior single point transfixation is safe and efficacious for the treatment of sacroiliac joint dysfunction with statistical improvements in pain and function.
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关键词
Sacroiliac joint disease, the novel posterior fusion, multicenter, prospective, single arm study, clinical outcomes, evidence
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